CDC and ATSDR Health Message Testing System

Forms and Documents

Document Name	Status
Form 0920-0572 Tick- and Mosquito-borne Disease Prevention Message Evaluation Form and Instruction	New
Attachment 3 - Health Message Testing System Expedited Review Form .docx Supplementary Document	2021-08-30
60dy210572 0052.docx Supplementary Document	2021-08-30
Attachment 4-DemographicQuestions.docx Supplementary Document	2021-08-05
Attachment 5-MarketResearchExpQuestions.docx Supplementary Document	2021-08-05
Attachment 6-IntroductoryQuestions.docx Supplementary Document	2021-08-05
Attachment 7-CoreQuestions.docx Supplementary Document	2021-08-05
Attachment 8-ActivityTaskQuestions.docx Supplementary Document	2021-08-05
Attachment 9-FollowUpQuestions.docx Supplementary Document	2021-08-05
Attachment 10 - Examples-Data Collection Instruments 060308.docx Supplementary Document	2021-08-05
Att 1-AuthLegislation.pdf Supplementary Document	2021-08-05
Attachment 11 - IRB Ruling 060308.docx Supplementary Document	2021-08-05
SS-PartB-HMTS .docx Supporting Statement B	2021-08-30
SS-Part A HMTS .docx Supporting Statement A	2021-08-30

IC Document Collections

IC ID	Document Title	Status
251679	Tick- and Mosquito-borne Disease Prevention Message Evaluation Form and Instruction	New

ICR Details

OMB Control No: 0920-0572	ICR Reference No: 202108-0920-006
Status: Received in OIRA	Previous ICR Reference No: 201806-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0572
Title: CDC and ATSDR Health Message Testing System
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/31/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	08/31/2021
Responses	55,575	55,575
Time Burden (Hours)	7,410	7,410
Cost Burden (Dollars)	0	0

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Abstract: CDC must communicate about hazards, outbreaks and other emergencies that present an urgent health threat to the public. Untested messages can waste communication resources and opportunities because the messages can be perceived as unclear or irrelevant. OADC-CDC requests a reinstatement without change for the generic clearance for an expedited review of items to be used in health message testing to ensure the public will understand health messages and take recommended action.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 28354	05/26/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 4472	08/13/2021
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 0

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	55,575	55,575	0	0	0	0
Annual Time Burden (Hours)	7,410	7,410	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $1,550,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/31/2021

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